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' NONS� '. �DOUS WASTE MANIFEST <br /> WAWAR <br /> MENT AND.DISPOSAL FACILITY <br /> ►NC. <br /> JOB ACCEPTANCE N0. t t,v <br /> ! GENERATOR ' - - f 9 :RE"P4 RE€}PEFiSONAL:PROTECTN UIP ENT' <br /> E3GLOVES[]GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING-AQDRESS - � � � ❑TY-VEK OTH <br /> .a � ❑ ER <br /> CITES ATI= ZIP � a1 x - ,��<� SPECIAL HANDLING.PROCEDURES: <br /> 3Ii <br /> I <br /> :.<.w... -..,.. ..:r,�.,.-�..._. ,. -wx:.ti,.taw..ea..:s:,�,e��Sf.�"i.»L �-.o�stit•�.r,.:- <br /> SIGNATURE OF�AUTHOR..IZED AGeE[ T'f NTLI: R LATE "` 4 <br /> .. / t la 0Lf A 12141,13' <br /> . <br /> ' NG.FACCUTYa <br /> RECElV1 " <br /> ❑ TREATMENTSO{L ❑ N[]N-FRIABLE ASBESTOS FORWARD"INC. LANDFILL <br /> • [ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL p ASH 9999 SOUTH AUSTIN ROAD <br /> " ❑ OTHER <br /> MANTECA, CALIFORNIA '.95336 <br /> :GENERATING�AGIurY (209) 982-4298 PHONE <br /> - ._� �. <br /> (209) 982=1:009 FAX <br /> BarnBT'd A py,,. rt i } ; if <br /> NAME IVIBER <br /> i LzB� yj. tea, r <br /> i <br /> I�C1U.(1k1c3T'd <br /> E , ` CITY,,STATE <br /> i 41 <br /> .PHONE_ _ s ��, D DE)NEf? `.BOTT},�OItiA�DI'JME'� THAN,SFE�t�:_ <br /> El. Q p <br /> 2: .t 8�3 44i <br /> SIGNATIiREOACJTHORIZEQ PiGENTm OR QRiVERT ;DATE _: SROOS ' , FIAT BEDS VAIV <br /> 1214193 <br /> FORWARD INC., LANDFILL iculIrARo <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste.or if the waste <br /> dISPOSAL:METf 10D .FORWA {[]) <br /> I impairs the safe and effective operation of,,the Landfill. Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE ',,�; �IERATE; �Ql1fEt , <br /> waste for any reason. If Forward's refusal to accept the waste is based on s.... <br /> weather or other site conditions,Forwarc.shall notify the Disposer when site ❑ SOIL <br /> ' conditions are expected to change such that.Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> i NON-FRIABLE <br /> i <br /> FACILITY TI .: N: BERT' <br /> ASBESTOS <br /> LJWOOD' ry <br /> SIGiVATU E Al1TFi Z €); NT �y DA� W'� a <br /> ASH <br /> /�`f- ❑ OTHER . . <br /> ,r <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON"ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209)982-4298 <br /> MANIFEST# <br /> 14901 . <br /> TRANSPORTER COPY <br />